Active NPI
Warren Township Trustees
- Ambulance
- Marietta, OH
National Provider Identifier
1508535782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- WARREN TOWNSHIP TRUSTEES
- Doing business as
- WARREN TOWNSHIP VOLUNTEER FIRE DEPARTMENT
- Practice address
- 17305 State Route 550
Marietta, OH 45750-8315 - Phone
- (740) 373-2424
- NPI assigned
- Sep 10, 2021
- Organization subpart
- Yes
- Parent organization
- WARREN TOWNSHIP TRUSTEES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy D McKenzie
- Title
- Fiscal Officer
- Phone
- (740) 373-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
17305 State Route 550
Marietta, OH 45750-8315
Mailing address
95 Coffman Rd
Marietta, OH 45750-6421
Phone (740) 373-2424
Other names 1
- WARREN TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210929003306 | OH | Part B Supplier - Ambulance Service Supplier | 2466859764 | Practice locations: Marietta, OH |
National Provider Directory
National Provider Directory- Part of
- Warren Township Trustees
Locations
17305 State Route 550
Marietta, OH 45750
Phone (740) 373-2424
95 Coffman Rd
Marietta, OH 45750
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulance
- Leavittsburg, OH
- NPI 1750443735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1508535782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COFFMAN RD",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457506421",
"telephone_number": "740-373-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17305 STATE ROUTE 550",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457508315",
"telephone_number": "740-373-2424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN TOWNSHIP TRUSTEES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WARREN TOWNSHIP TRUSTEES",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "740-373-2424"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WARREN TOWNSHIP VOLUNTEER FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.